Knowledge, Attitude, and Practice of Lebanese Population

Toward Cervical Cancer and its Screening

I. Sociodemographic Characteristics

1. Age:  18-34 years  35-50 years  More than 50 years

2. Level of education:  Did not attend school

 Elementary

 Middle and high school

 University and graduates

3. Marital status:  Single  Married  Divorced  Widow

4. Do you work?  Yes  No

5. If yes, what is your domain?  Healthcare worker

 Non-Healthcare Worker

6. Do you have family history of cervical cancer?

 Yes  No
 II. Knowledge of Participant Toward Cervical Cancer:

I Don’t
N Questions True False
Know
Cervical cancer is the first most common
1 gynecologic cancer diagnosis and cause of
death among gynecologic cancers.
2 Cervical cancer is preventable.

3 Cervical cancer is curable in early stages.

Human Papilloma Virus is the most common
4
cause for cervical cancer.
Genitourinary infections increase the risk of
5
cervical cancer among women.
Late onset of sexual activity increases the risk
6
of cervical cancer among women.
Multiple sexual partners increase the risk of
7
cervical cancer among women.
Immunosuppression increases the risk of
8
cervical cancer among women.
Oral contraceptives use decreases the risk of
9
cervical cancer among women.
Smoking increases the risk for cervical cancer
10
among women.
Cervical cancer may be without any sign in
11
early stages.
Nausea and vomiting are a sign of cervical
12
cancer.
Bleeding and spotting after menopause may
13
be associated with cervical cancer.
Bleeding and feeling pain after intercourse is a
14
symptom for cervical cancer.
Advanced cervical cancer may present with
15
pelvic or lower back pain.
Vaccination against Human Papilloma Virus
16
may decrease the risk of cervical cancer.
III. Knowledge of Participant Toward Screening of Cervical Cancer:

I don’t
N Questions True False
Know
Screening can detect precursors and early-
1
stage cervical cancer.
Treatment of precursors and early-stage
2
cervical cancer is impossible.
Screening reduces the incidence and mortality
3
of cervical cancer.
4 First Pap smear test should be done at age 21.
Pap smear test before symptomatic cervical
5
cancer, may help detect cervical cancer earlier.
HPV can be transmitted in skin-to-skin genital
6
touching.
Co-testing (Pap test and HPV testing) should
7
be done every five years.
Pap test (with no HPV testing) should be done
8
every three years.
9 Pap smear test after age 65 is necessary.
Pap smear test should be performed only if
10
infection and bleeding was seen.
 IV. Attitude of Participant Toward Cervical Cancer Screening:

N Question Strongly Strongly

Disagree Neutral Agree
Disagree Agree
1 Pap smear test is expensive.
2 Pap smear test is painful.
3 Pap smear test is time-consuming.
4 Performing Pap smear test disturb
privacy of women.
5 Pap smear test is effective in early
detection of cervical cancer.
6 Pap smear is not effective for
cervical cancer prevention.
7 I prefer doing Pap smear test
before experiencing cervical
cancer symptoms.
8 Pap smear test is not necessary in
asymptomatic individuals.
9 Equipment of the Pap smear test
does not have good quality.
V. Practice of Participants in Cervical Cancer Screening:
1. Have you ever done Pap smear test?
 Yes  No

2. When have you done your first Pap smear?

 Before 21 years of age  After 21 of age

3. If yes, do you do Pap smear on regular basis?

 Yes  No

4. If yes, how often did you do Pap smear?

 Yearly  Every 3 years  Every 5 years with HPV screen

5. Have you ever received HPV vaccine?

 Yes  No

6. What are the barriers of screening for cervical cancer among

women? (Select all that apply)
 No symptoms
 Lack of awareness
 Embarrassment
 Carelessness
 Fear of vaginal examinations
 Financial problem
 Difficult access to hospital
 Not recommended by health professionals